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HomeMy WebLinkAbout332433 11/21/18 �%'��'''�� CITY OF CARMEL, INDIANA VENDOR: 355319 ® ONE CIVIC SQUARE MICHAEL KLITZING CHECK AMOUNT: $*******210.00* :9� +' CARMEL, INDIANA 46032 1550 REDSUNSET DRIVE CHECK NUMBER: 332433 q,��TON� BROWNSBURG IN 46112 CHECK DATE: 11/21/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4343000 REIMB 160.00 TRAVEL FEES & EXPENSE 1125 4344100 REIMB 50.00 CELLULAR PHONE FEES ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL VOUCHER NO. WARRANT NO. An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by Vendor# 355319 Allowed 20 whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. Klitzing, Michael Payee 1550 Redsunset Dr Brownsburg, IN 46112 In Sum of$ Purchase Order# 355319 Klitzing,Michael Terms $ 210.00 1550 Redsunset Dr Date Due Brownsburg, IN 46112 ON ACCOUNT OF APPROPRIATION FOR 101 General Fund!109 Monon Center PO#or Invoice Description Dept# INVOICE NO. ACCT#/TITLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount 1125 Reimb 4344100 $ 50.00 Board Members 11/13/18 Reimb Cell Phone Reimbursement Ocr18 $ 50.00 1125 Reimb 4343000 $ 160.00 11/13/18 Reimb Travel Expenses for NRPA Conference $ 160.00 I hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except $ 210.00 Total $ 210.00 November 14,2018 1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 Cost distribution ledger classification if claim paid motor vehicle highway fund Signature 20_ Accounts Payable Coordinator Clerk-Treasurer Title Carmel � Cla . y Parks&Recreation: Emp ogee-:Expense:Reimbursement Request Date.of : Fund Account Account Receipt Vendor listed on receipt # Line:# Budget Description Amount.. Purpose of Expense. Reimbursement for use.of: 10/12/2018 Verizon Wireless 101.: 1125-1-00=4344100 .: Cellular Phone Fees . $50.00. personal Phone for,DePaitment.: business OC4X18. . 9/27/2018.: Capital Commons- 101 .1125-1-0074343000 Travel Fees:&Expenses, $160.00.: Parking;atNRPA Conference All receipts should-lie attached.in the same order as listed above. No sales:tax will.be reimbursed.. : TOTAL: $210.00 Employee:Name(print) Michael'.Klitzing Address 1550:Redsunset Dr:: . . . Check payab a to: City, St,:Zip . Brownsburg; IN .4611.2: Signature: Approved by: . Date: . 11/13/2018 Date: Business Services Division,Revised 7-7=08 . FILE:,:Shared\Administrative\Forms\Staff Forms\Employee Exp Reimb Request . i Capitol Commons **CASH 13** DATE: 09/27/18 TIME: 06:26 PM * Original * Receipt No. 94/1599/212 Ticket - 405029 LPR = PL1000 TAX i ncl Uded 160.00 Credit: 160.00 Trans ID 30209',') Card No. : ****i.**s•,a.+a,****3003 Card Type: AMEX Entry - 09/23/18 07:18 PM Valid - 09/27/18 06:26 PM